| Julie Chicks, M.d. | |
|
1990 Wisconsin Ave Grafton WI 53024-2601 | |
| (262) 377-2900 | |
| (262) 377-5349 |
| Full Name | Julie Chicks, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1990 Wisconsin Ave, Grafton, Wisconsin |
| Authorized Official Name and Position | Julie Ann Chicks (OWNER) |
| Authorized Official Contact | 2623772900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Chicks, M.d. 1990 Wisconsin Ave Grafton WI 53024-2601 Ph: (262) 377-2900 | Julie Chicks, M.d. 1990 Wisconsin Ave Grafton WI 53024-2601 Ph: (262) 377-2900 |
| NPI Number | 1518379221 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518379221 | NPI | - | NPPES |
| 32523800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40099 (Wisconsin) | Primary |